JOSE LUIS CONDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112590

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

LUIS

Last Name

CONDE

Suffix

Business Name

JOSE LUIS CONDE MD

Original Issue Date

11/01/2004

Effective Date

11/01/2004

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006